重型颅脑外伤后大面积脑梗死的原因及防治  

Causes and prevention and treatment measures to massive cerebral infarction in patients with severe head injury

作　　者：刘保国[1] 何黎明[1] 余英教[1] 朱飚[1] 李平安[1] 李冲[1] 郭铭[1] 梁晓华[1] 

机构地区：[1]广东粤北人民医院神经外科,韶关512026

出　　处：《中国实用神经疾病杂志》2011年第11期26-28,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨重型颅脑外伤后大面积脑梗死的原因及防治措施。方法对收治的36例重型颅脑外伤后大面积脑梗死病例进行回顾性分析。结果按格拉斯哥预后评分(Glasgow outcome scale,GOS)标准:恢复良好6例(16.7%),中残9例(25.0%),重残6例(16.7%),植物生存3例(8.3%),死亡12例(33.3%)。结论对重型颅脑外伤后大面积脑梗死患者及早明确诊断,进行积极有效的综合治疗是改善大面积脑梗死患者预后的关键。Objective To explore causes and prevention and treatment measures to massive cerebral infarction in patients with severe head injury.Methods Clinical data in 36 cases with massive cerebral infarction after severe head injury were conducted and retrospectively analyzed.Results According to Glasgow outcome scale（GOS） scores,6 patients were classified as good recovery（16.7%）,9 moderate neurological deficit（25.0%）,6 severe neurological deficit（16.7%）,and 3 vegetative state（8.3%）.Death occurred in 12 cases（33.3%）.Conclusion Early diagnosis and effective comprehensive treatment measures are key factors in improving the prognosis of patients with massive cerebral infarction after severe head injury.

关 键 词：重型颅脑外伤 大面积脑梗死 原因 防治 

分 类 号：R743.33[医药卫生—神经病学与精神病学]